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1.
BMC Pregnancy Childbirth ; 22(1): 19, 2022 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-34996368

RESUMO

BACKGROUND: Subacute thyroiditis (SAT) is rarely diagnosed in pregnant women, and only 7 cases have been reported to date. Thyroid dysfunction, especially hyperthyroidism, during pregnancy has been associated with both maternal and neonatal complications. Thus, the early diagnosis and treatment of SAT during pregnancy may be beneficial. We present a case report and literature review to complement the diagnostic evaluation and management of SAT during pregnancy. CASE PRESENTATION: A 27-year-old woman presented in gestational week 17 of her first pregnancy and had a negative prior medical history. She presented to the Endocrinology Department complaining of neck pain for one month that had intensified in the last five days. Physical examination revealed a diffusely enlarged thyroid gland that was firm and tender on palpation. The patient also had an elevated temperature and heart rate. The increasing and long-lasting pain coupled with a decreased level of thyroid-stimulating hormone indicated hyperthyroidism. Ultrasound findings were indicative of SAT. Importantly, the pain was so severe that 10 mg of oral prednisone per day was administered in gestational week 18, which was increased to 15 mg/d after 10 days that was discontinued in week 28. Levothyroxine was started in gestational week 24 and administered throughout the pregnancy. The patient responded well to the treatments, and her neck pain disappeared in gestational week 21. She gave birth to a healthy male in gestational week 41. CONCLUSION: SAT can be diagnosed and effectively managed during pregnancy, thus benefiting mothers and infants.


Assuntos
Complicações na Gravidez/diagnóstico , Tireoidite Subaguda/diagnóstico , Adulto , Feminino , Glucocorticoides/uso terapêutico , Humanos , Nascido Vivo , Cervicalgia/etiologia , Prednisona/uso terapêutico , Gravidez , Complicações na Gravidez/tratamento farmacológico , Resultado da Gravidez , Testes de Função Tireóidea , Tireoidite Subaguda/tratamento farmacológico , Tiroxina/uso terapêutico , Resultado do Tratamento
2.
Cir Cir ; 89(S2): 41-44, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34932539

RESUMO

BACKGROUND: Eagle syndrome is an uncommon condition, characterized by alteration in the stylomastoid process and sometimes a complete calcification of the stylohyoid ligament. OBJECTIVE: To report the relevance of a timely diagnosis and treatment options. CASE REPORT: 53-year-old female, present symptoms, characterized by occipital headache and neck pain and dysphagia with one-year evolution, through studies Imaging and clinical, the diagnosis of eagle syndrome was obtained, which is treated by surgical transoral approach. CONCLUSIONS: Eagle syndrome consists of nonspecific clinical signs, so it is important to understand the diagnostic evaluation, and the variety of treatment options.


ANTECEDENTES: El síndrome de Eagle es una condición poco común caracterizada por una alteración en la apófisis estilomastoides o una calcificación completa del ligamento estilohioideo. OBJETIVO: Reportar la relevancia de un diagnóstico oportuno y las opciones de tratamiento. CASO CLÍNICO: Mujer de 53 años con síntomas de cefalea occipital, dolor cervical y disfagia con 1 año de evolución. Por medio de imagenología y la clínica se establece el diagnóstico de síndrome de Eagle, que fue tratado con un abordaje transoral. CONCLUSIONES: El síndrome de Eagle consta de signos clínicos inespecíficos, por lo que es importante comprender la evaluación diagnóstica y la variedad de opciones de tratamiento.


Assuntos
Ossificação Heterotópica , Tomografia Computadorizada por Raios X , Feminino , Humanos , Pessoa de Meia-Idade , Cervicalgia/etiologia , Ossificação Heterotópica/diagnóstico , Ossificação Heterotópica/cirurgia , Osso Temporal/anormalidades , Osso Temporal/diagnóstico por imagem , Osso Temporal/cirurgia
3.
J Contemp Dent Pract ; 22(8): 860-866, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34753836

RESUMO

BACKGROUND: Previous evidence indicated that musculoskeletal disorders (MSDs) are highly prevalent among dentists. However, limited data are available on the prevalence and predictors for cervical and lumbar pain, the two most common subtypes of MSDs reported internationally. AIM AND OBJECTIVE: The aim and objective of this nationwide cross-sectional study was to assess the prevalence and predictors of cervical and lumbar pain among dental interns in Saudi Arabia. MATERIALS AND METHODS: Data were collected using an online survey that was distributed to dental interns who graduated during the 2018-2019 academic year from all dental schools in Saudi Arabia. The survey included questions related to sociodemographic characteristics, symptoms of MSDs, and ergonomic preventive practices. Bivariate and multivariate logistic regression analyses were performed to assess several predictors of cervical and lumbar pain among our sample population. RESULTS: Of the 1,552 eligible interns, 889 (57%) completed the survey (mean age: 24.8 years, 55% female), with 65% enrolled at public universities. The overall prevalence of cervical pain was 41%, and the corresponding prevalence for lumbar pain was 32%. Female participants had significantly higher odds of reporting cervical pain [odds ratio (OR): 2.02, p <0.001]. Participants who typically avoid excessive bending and twisting were significantly less likely to report cervical pain and lumbar pain (OR: 0.51, p <0.001, and 0.46, p <0.0001, respectively). CONCLUSION: Cervical pain and lumbar pain are highly prevalent among Saudi dental interns. Female sex was identified as a potential risk factor for cervical pain, and avoiding bending and twisting during dental work was identified as a protective factor for cervical and lumbar pain. CLINICAL SIGNIFICANCE: Our results indicate that cervical and lumbar pain represent relevant health issues for dental students. Our data add further support to the notion that dental schools should consider enhancing training on dental ergonomics, enabling healthier careers for future dentists in Saudi Arabia.


Assuntos
Doenças Musculoesqueléticas , Adulto , Estudos Transversais , Ergonomia , Feminino , Humanos , Masculino , Cervicalgia/epidemiologia , Cervicalgia/etiologia , Arábia Saudita/epidemiologia , Adulto Jovem
4.
Acta Biomed ; 92(S1): e2021136, 2021 11 04.
Artigo em Inglês | MEDLINE | ID: mdl-34747374

RESUMO

A fifty-three year-old military patient, presented with a 3 months neck pain and paraesthesia of upper right extremity after gastroscopy. Radiological examination demonstrated anuncertain degenerative/infective involvement of C6-C7 intervertebral disc. The patient underwent anterior debridement with C5-C6 disc excisional biopsy, with microbiological findings of Bacillus pumilus with high bacterial concentration. After biopsy, segment arthrodesis was achieved only with vertebral plate cruentation and 3 months of cervical collar. He completed a six-weeks course of intravenous antibiotics for the treatment of atypical spondylodiscitis. At one year of follow-up, he had no residual neck pain or neurological signs or symptoms.


Assuntos
Bacillus pumilus , Discite , Deslocamento do Disco Intervertebral , Vértebras Cervicais/diagnóstico por imagem , Vértebras Cervicais/cirurgia , Discite/complicações , Discite/diagnóstico por imagem , Discite/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Cervicalgia/etiologia
5.
Medicina (Kaunas) ; 57(10)2021 Oct 13.
Artigo em Inglês | MEDLINE | ID: mdl-34684134

RESUMO

Background and Objectives: Neck-tongue syndrome (NTS) is rare, and characterized by unilateral upper neck or occipital pain and paresthesia in the ipsilateral hemisphere of the tongue due to neck movement. Treatment for NTS is mainly conservative, but the symptoms, causes, and rationale for treatment remain controversial. This study aimed to provide a framework for NTS treatment in clinical practice based on recent treatment directions. Materials and Methods: Case reports published from the past 20 years to August 2021 were searched through MEDLINE, EMBASE, and PEDro databases. Since there is no established management for NTS, the search terms were neck-tongue syndrome and case reports. The Critical Appraisal Checklist for Case Reports was used for the quality assessment of case reports. Through descriptive analysis, NTS symptoms, interventions, and results were reviewed. Results: Among the 16 studies searched, six case reports were selected and analyzed based on eight criteria. Symptoms included neck pain and ipsilateral tongue paralysis when the head was turned. As an intervention, six and four studies showed immediate symptom relief through manual therapy and exercise, respectively. Conclusions: Based on the reviewed evidence, management through physical therapy and chiropractic therapy with conservative methods such as manual therapy and exercise for patients with neck-tongue syndrome is recommended.


Assuntos
Cervicalgia , Língua , Humanos , Cervicalgia/etiologia , Cervicalgia/terapia , Modalidades de Fisioterapia
6.
PLoS One ; 16(9): e0256794, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34492055

RESUMO

BACKGROUND: Mobile technology has spread rapidly around the globe. In 2018 the numbers of mobile subscribers in Ethiopia hit 66.2 million. Musculoskeletal complaints related to smartphone use in different body parts have been reported ranging from 8.2% to 89.9%. Neck pain has the highest prevalence rate, which ranges from 17.3% to 67.8%. However, there is limited evidence on the burden of neck pain related to Smartphone usage and no research is done in Ethiopia. Therefore, this study was conducted to determine the burden of neck pain and factors associated with smartphone use in Ethiopia. PURPOSE: The objective of this study was to identify the prevalence and factors associated with neck pain among smartphone users at University of Gondar. METHODS: Institutional based cross-sectional study was conducted from November to December 2019 to determine the prevalence and associated factors of neck pain, with a sample of 845 university student smartphone users at University of Gondar, Ethiopia. A self-administered questionnaire adapted from the Nordic musculoskeletal questionnaire was used to collect data. Independent variables which had a significant association were identified using logistic regression models. Results were reported by using texts and frequency distribution tables. RESULTS: Out of 845 questionnaires distributed, 808 students responded; hence, the response rate was 95.6%. The overall prevalence of neck pain among smart phone users in the past 12 months was 47.4% (95% CI, 44.1-50.9%). Attending 5th year (AOR: 3.907, 95% CI: 1. 952-7.82) and 6th year (AOR: 2.93,95% CI: 1,304-6.59), regular physical exercise (AOR: 2.405, 95% CI: 1.549-3.734), cigarette smoking (AOR: 5.415, 95% CI: 2.685-10.919), residency (AOR: 1.681, 95% CI: 1.181-2.391), break while using smartphone (AOR: 3.253 95% CI: 2.252-4.699), used smartphone > 6 hour per day (AOR: 2.782 (1.528 95% CI: 1.528-5.063), used other devises (AOR: 3.158 95% CI: 2.128-4.689), number of social media used daily (AOR: 2.007 95% CI: 1.228-3.2788), used devise for playing game (AOR: 1.484 95% CI: 1.024-2.15) were factors significantly associated with neck pain. CONCLUSION: The current study depicted that nearly half of the study participants reported neck pain in the past 12 months. Attending last year of university, personal characteristics, use of smart phone for longer period, playing game, not taking break, other electronic device use, increased number of social media use were associated with neck pain among smartphone users.


Assuntos
Cervicalgia/epidemiologia , Smartphone , Jogos de Vídeo/efeitos adversos , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/efeitos adversos , Índice de Massa Corporal , Etiópia/epidemiologia , Exercício Físico/fisiologia , Feminino , Humanos , Masculino , Cervicalgia/etiologia , Cervicalgia/patologia , Fumar/efeitos adversos , Mídias Sociais , Estudantes , Universidades , Adulto Jovem
8.
Ugeskr Laeger ; 183(34)2021 08 23.
Artigo em Dinamarquês | MEDLINE | ID: mdl-34477084

RESUMO

In this case report, a nine-year-old girl was seen in the emergency department due to neck pain following a trampoline accident ten days ago. She had experienced paraesthesia in her left arm immediately after the accident, but these symptoms disappeared during the first day. A CT scan of the cervical spine was found to be normal. A supplementary MRI was done, showing compression fractures of four vertebrae C7-Th3 besides a torn interspinous ligament between C7 and Th1. The patient was kept in a neck collar for eight weeks. At the end of treatment, she was without any complaints.


Assuntos
Lesões do Pescoço , Fraturas da Coluna Vertebral , Vértebras Cervicais/diagnóstico por imagem , Vértebras Cervicais/lesões , Criança , Feminino , Humanos , Lesões do Pescoço/diagnóstico por imagem , Cervicalgia/diagnóstico por imagem , Cervicalgia/etiologia , Fraturas da Coluna Vertebral/diagnóstico por imagem , Tomografia Computadorizada por Raios X
9.
J Foot Ankle Res ; 14(1): 53, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34470650

RESUMO

BACKGROUND: Occupational musculoskeletal injuries are prevalent in healthcare workers and are reported to be profession-specific. There is, however, a paucity of information around the injuries sustained from working as a podiatrist. This paper looks at the incidence of injury from working as a podiatrist, the aggravating factors to sustain these injuries and whether the changes in workload due to the COVID-19 pandemic altered the incidence. METHODS: A modified work based musculoskeletal injury questionnaire was distributed in the UK via podiatry led social media platforms. Open and Closed questions explored the demographics of the sample, perceived injury 12 months prior to the COVID-19 pandemic and then 6 months into the lockdown. Pre and post COVID-19 data were analysed for differences and thematic analysis was included to categorise reported experiences. RESULTS: 148 podiatrists representing 3 % of HCPC registered practitioners responded to the questionnaire. Employment status altered as a result of the COVID-19 pandemic with a 13 % reduction in those working full time. Environments also changed with domiciliary and telehealth significantly increasing (p > 0.00) and non-clinical roles being extended (p > 0.002). Pain frequency and intensity significantly (p > 0.04) increased as a result of the pandemic with shoulder pain being most frequent before lockdown altering to the neck during the lockdown. Two main themes were identified that were attributed to the causes of pain including physical demands and working in awkward spaces. CONCLUSIONS: Work-related musculoskeletal pain in podiatrists is common with the shoulder and neck being the most frequently affected. Changes in work practices due to the restrictions enforced from the COVID-19 pandemic increased the frequency and intensity of pain mostly associated with increased domiciliary and telehealth working environments.


Assuntos
Acidentes de Trabalho , COVID-19 , Cervicalgia , Doenças Profissionais , Podiatria , Dor de Ombro , Acidentes de Trabalho/prevenção & controle , Acidentes de Trabalho/estatística & dados numéricos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Controle de Doenças Transmissíveis/métodos , Pesquisas sobre Serviços de Saúde/métodos , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Humanos , Cervicalgia/epidemiologia , Cervicalgia/etiologia , Doenças Profissionais/classificação , Doenças Profissionais/epidemiologia , Podiatria/métodos , Podiatria/tendências , Prevalência , SARS-CoV-2 , Dor de Ombro/epidemiologia , Dor de Ombro/etiologia , Telemedicina/métodos , Reino Unido/epidemiologia , Carga de Trabalho/estatística & dados numéricos , Local de Trabalho/normas
11.
Work ; 69(4): 1261-1270, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34366308

RESUMO

BACKGROUND: The excessive use of hand-held mobile devices (HHMD) leads to a postural phenomenon known as text neck. OBJECTIVE: The aim of this paper is to discuss the anatomical, biomechanical and muscle activation changes within the cervical and thoracic regions associated with the sustained, forward, flexed neck posture, observed with excessive usage of hand-held mobile devices. Additionally, this paper examines the relationship of gender, as well as the effects of carrying backpack loads by youth, on this forward, flexed neck posture. METHODS: Multiple aspects of the text neck position that occur when an individual uses a HHMD are described. RESULTS: Prolonged use of hand-held mobile devices results in adverse anatomical and biomechanical changes in the cervical and thoracic spine, muscular imbalances, and postural compensations, all of which contribute to muscular overuse and fatigue resulting in pain. CONCLUSIONS: Physical therapists must educate their patients about proper posture while using hand-held mobile devices. Proper posture includes: holding the device close to eye level, using the device while standing or sitting and holding the device with a line of sight perpendicular to the surface of the device, using a larger screen, and texting with both hands. Also, because children are using hand held mobile devices at younger ages, parents and teachers must be educated about the dangers of prolonged use of hand-held devices.


Assuntos
Envio de Mensagens de Texto , Adolescente , Criança , Humanos , Pescoço , Cervicalgia/etiologia , Postura , Coluna Vertebral
12.
BMJ Case Rep ; 14(8)2021 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-34380690

RESUMO

Eagle's syndrome was first described by Watt Eagle in 1937, as a syndrome of vague orofacial and cervical pain. He reported two variants, classic styloid and stylocarotid artery syndrome. Eagle's syndrome is a non-perceived and underdiagnosed clinical condition of the head and neck. This anomalous entity presents with neck pain, globus sensation, difficulty in turning the head, dysphagia, odynophagia and various other symptoms occurring as a result of irritation to the nearby structures. The surgical management of Eagle's syndrome consists of two major approaches: the transoral and the transcervical approaches. We report a case of classic bilateral elongated styloid process syndrome, treated with transcervical styloidectomy for painful left elongated styloid process. This gave permanent relief to the patient. The transcervical surgical approach for resection of elongated styloid process in patients with Eagle's syndrome appears to be safe and effective, although the risk for transient marginal mandibular nerve weakness is notable.


Assuntos
Ossificação Heterotópica , Humanos , Masculino , Cervicalgia/etiologia , Ossificação Heterotópica/diagnóstico por imagem , Ossificação Heterotópica/cirurgia , Síndrome , Osso Temporal/anormalidades , Osso Temporal/diagnóstico por imagem , Osso Temporal/cirurgia
13.
Ned Tijdschr Geneeskd ; 1652021 05 05.
Artigo em Holandês | MEDLINE | ID: mdl-34346600

RESUMO

A 12-year-old girl consults the orthopaedic surgeon to exclude somatic causes of her cervical pain. One of her specific symptom is nocturnal pain, which responds well to NSAIDs. SPECT-CT showed an osteoid osteoma of the C3 pedicle. Osteoid osteoma is mostly a self-limiting disease in young adults.


Assuntos
Neoplasias Ósseas , Osteoma Osteoide , Anti-Inflamatórios não Esteroides/uso terapêutico , Criança , Feminino , Humanos , Cervicalgia/etiologia , Osteoma Osteoide/tratamento farmacológico , Adulto Jovem
17.
Clin J Pain ; 37(10): 730-739, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34334693

RESUMO

OBJECTIVE: The objective of this study was to investigate the pain-sensory profile of patients with whiplash-associated disorders (WADs) prior and post 2 weeks of standardized rehabilitation and after a 6-month follow-up. MATERIALS AND METHODS: Twenty-two WAD participants (grade II; 14 women) and 22 sex-matched and age-matched healthy pain-free controls were enrolled. Pressure pain thresholds (PPTs) were assessed at local and distal muscles. Conditioned pain modulation (CPM) of PPTs was assessed using cuff pressure around the upper arm. Referred area of pain following supra-threshold pressure stimulation of the infraspinatus muscle was recorded on a body chart. Psychometric variables (pain intensity, area of perceived pain, pain catastrophizing, kinesiophobia, sleep problems, and depression level) were assessed. WAD group additionally completed the Neck Disability Index. RESULTS: The WAD group demonstrated lower local PPTs compared with controls at all time points (P<0.05) and lower distal PPTs at baseline and at 2 weeks when compared with 6 months (within-group) (P<0.05). The WAD group had a reduced CPM response and larger induced referred pain areas compared with controls (P<0.05), while no within-group changes were observed at any time point. The WAD group reported higher pain intensity and perceived area of pain compared with controls at all time points (P<0.05) and a mean Neck Disability Index score of 41% at baseline, 16% at 2 weeks, and 4% at 6 months. Furthermore, the WAD group reported improvements in all other psychometric variables (P<0.05), although only pain catastrophizing levels were comparable to controls at 2 weeks. DISCUSSION: PPTs but not CPM improved in the WAD group and were comparable to controls following 2 weeks following standardized rehabilitation, indicating that normalization of CPM may not be required to recover from WAD.


Assuntos
Limiar da Dor , Traumatismos em Chicotada , Feminino , Humanos , Cervicalgia/etiologia , Dor , Medição da Dor , Traumatismos em Chicotada/complicações
18.
J Pak Med Assoc ; 71(8): 2080-2082, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34418035

RESUMO

Whiplash is a soft tissue injury of the cervical spine that is generally caused by trauma from a motor vehicle accident or gunshot. It is associated with a wide range of clinical symptoms, including neck pain and stiffness, pain and restricted movement in the upper arms. We report the manifestations of this trauma within the beliefs and psychological functioning based on a comprehensive psychological assessment that include a review of hospital records, clinical examinations, a structured clinical interview, an inventory of psychosocial function, and a post-traumatic maladaptive belief scale. The results show that the patient's traumatic cervical syndrome manifested as moderate impairment in friendships and romantic relationships which reveal severe daily impairment in work, parenting, and self-care activities. The study further suggests that the injury is associated with maladaptive beliefs and significant impairment in psychosocial functioning.


Assuntos
Traumatismos em Chicotada , Vértebras Cervicais , Humanos , Cervicalgia/etiologia , Funcionamento Psicossocial , Medula Espinal , Traumatismos em Chicotada/complicações
19.
BMJ Open ; 11(8): e051751, 2021 08 23.
Artigo em Inglês | MEDLINE | ID: mdl-34426471

RESUMO

OBJECTIVES: The COVID-19 pandemic has forced many people to stay at home and to maintain social distancing. This study aimed to assess the association of reduced physical activity during the COVID-19 pandemic with new onset of neck pain (katakori) among a rural Japanese population living in areas damaged by the Great East Japan Earthquake (GEJE). DESIGN, SETTING AND PARTICIPANTS: This prospective cohort study has been conducted continuously since 2011 after the GEJE. This study used longitudinal data from 1608 adults who responded to the self-reported questionnaire before and during the COVID-19 pandemic. Changes in physical activity due to the COVID-19 pandemic were categorised into four groups: 'no change', 'decreased by 20%-30%', 'decreased by half' and 'almost never go out'. Multiple logistic regression analysis was used to estimate the OR and 95% CI of the association between COVID-19 pandemic-related physical inactivity and new-onset neck pain. RESULTS: In total, 'no change', 'decreased by 20%-30%', 'decreased by half', and 'almost never go out' were reported by 9.2%, 27.7%, 31.2% and 21.9% of respondents, respectively. Among them, 9.8% reported new-onset neck pain. A significantly higher rate of new-onset neck pain was observed in participants who reported 'decreased by half' (adjusted OR 1.85, 95% CI 1.04 to 3.30) and who 'almost never go out' (adjusted OR 2.13, 95% CI 1.16 to 3.91), compared with those who reported 'no change.' CONCLUSIONS: Decreased physical activity has increased due to the COVID-19 pandemic and was significantly associated with new-onset neck pain among GEJE survivors.


Assuntos
COVID-19 , Terremotos , Adulto , Exercício Físico , Humanos , Japão/epidemiologia , Cervicalgia/epidemiologia , Cervicalgia/etiologia , Pandemias , Estudos Prospectivos , SARS-CoV-2 , Sobreviventes
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